Provider Demographics
NPI:1982702767
Name:NORTH PARK OB/GYN ASSOCIATES
Entity Type:Organization
Organization Name:NORTH PARK OB/GYN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STEELE
Authorized Official - Last Name:CHALFANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-934-1600
Mailing Address - Street 1:9000 BROOKTREE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9255
Mailing Address - Country:US
Mailing Address - Phone:724-934-1600
Mailing Address - Fax:724-934-1620
Practice Address - Street 1:9000 BROOKTREE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9255
Practice Address - Country:US
Practice Address - Phone:724-934-1600
Practice Address - Fax:724-934-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207VX000X207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA182518Medicare PIN